The Remote Diagnosis of Malaria Using Telemedicine or E-Mailed Images
Source: Military Medicine, Volume 171, Number 12, December 2006 , pp. 1167-1171(5)
Abstract:We determined the ability of blinded remote expert microscopy to identify malaria parasites through transmission of malaria smear images via telemedicine and as e-mail attachments. Protocols for malaria smear transmission included: (1) transmission of sender-selected televised smears at various bandwidths (Bw), (2) transmission of remote reader-directed televised smears at various Bw, and (3) transmission of digital photomicrographs as e-mail attachments. Twenty (14%) of 147 sender-selected, and 13 (6%) of 221 reader-directed, images were deemed unreadable by slide readers. The presence or absence of malaria was correctly identified in 98% of the remaining images. Sixty-four (34%) of 190 digital microphotographs were deemed unreadable, while the presence or absence of malaria was correctly identified in 100% of the remaining images. Correct speciation ranged from 45% to 83% across various transmission methods and Bw. The use of telemedicine and e-mail technology shows promise for the remote diagnosis of malaria.
Document Type: Research Article
Affiliations: 1: Department of Medicine, Walter Reed Army Medical Center, Washington, DC 20307. 2: Department of Medicine, Brooke Army Medical Center, Fort Sam Houston, TX 78234. 3: Department of Clinical Investigation, Brooke Army Medical Center, Fort Sam Houston, TX 78234. 4: Department of Pathology, Brooke Army Medical Center, Fort Sam Houston, TX 78234.
Publication date: 2006-12-01
- Military Medicine is the Association's official monthly journal. The objective of the Journal is to promote awareness of Federal medicine by providing a forum for responsible discussion of common ideas and problems relevant to Federal healthcare. Its mission is: To increase healthcare education by providing scientific and other information to its readers; to facilitate communication; and to offer a prestige publication for members' writings.
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